Medical tarihi: hauhawar jini sa 2

Ciwon kai, wani rauni, shortness na numfashi, palpitations, nosebleeds - m kuka da wanda marasa lafiya nemi ganawa da wani babban yin aiki.

Kowace rana, amma ba har abada ba, da za a magance irin wannan koke-koken da wani likita, musamman idan jerin gwano aka mamaye mutane girmi shekaru 40. Wasu daga cikin su sun riga sun sani su ganewar asali, da kuma wani zai san game da shi. Zama cewa kamar yadda shi may, mutane ba su cikin sauri san gaskiya game da su kiwon lafiya, matsayi, sabili da haka ja ziyarar da likita idan dai zai yiwu. Wannan Gaskiya ne, na maza. Abin takaici, shi ya faru da cewa yayin da "soyayyen zakara ba cizo," yayin da "kararrawa ba mai kararrawa" na asibiti ba za Ki rarrashi, kuma ba ja, duk da m ciwon kai, dizziness, shortness na numfashi da kuma nosebleeds.

A sharudda ga ganewar asali na hauhawar jini

• Lokacin da aunawa tonometer kam lambobi systolic matsa lamba na 140 mm Hg ko sama da diastolic - 90mm Hg da kuma sama.
• Sau uku da matsa lamba canji a lokacin da rana.
• Biyu-lokaci kam na high matsa lamba a kan mako.

Hadarin dalilai don hauhawar jini

• Rage jiki aiki - saboda abin da total walwa da tartsatsi na'urori. A zaune hanyar rayuwa ba ya faruwa ta halitta motsa jiki da zuciya da jijiyoyin jini tsarin, wanda zai yi wani aiki salon, yanã tafiya da gaggãwa, wasanni da kuma waje yara wasanni.
  
  
• Psycho-wani tunanin danniya, m stressful yanayi a wurin aiki, a makaranta, institute taimakawa wajen kunnawa da m-adrenal tsarin, da fitowan da kuma bunqasar kan lokaci juna, jefawa dukan albarkatun na jiki zuwa cimma da ake so manufa. Bayani a kan illar da danniya a jiki ƙunshi ba na farko tarihi da cutar. Hawan jinni da cututtukan zuciya da zai iya ci gaba sannu a hankali, kuma hankali.
  
  
• Mutane sun manta da yadda za a shakata. Bayan aiki da yawa giperotvetstvennym ma'aikata yana da wuya a cire haɗin daga samar da matsaloli, bar bakin ƙofar gidan duk abin da abin da aka alaka aiki aiki rana, da kuma tune a shiru farin ciki na sadarwa tare da masõyansa. Haka ya shafi cikin release. A mafi wani zaɓi, ba shakka, za su zauna a kan yanayi, da girma a waje: a yakin neman zabe, a tuddai, da teku, a kan kogin rafting, amma kawai a cikin kasar! Ayyukan a tare da tare da tsabta, sabo iska da kuma wani lafiya rage cin abinci zai iya aiki da abubuwan al'ajabi da pined a banza birane yanayi na jiki.
  
  
• Miyagun halaye. Da alama abin da suka kasance mutanen da ko da yaushe. Shan barasa da kuma shan taba jikin tsiwirwirinsu annoba rabbai a Rasha. Samuwar wadannan kirkirarrun siffofin shakatawa take kaiwa zuwa wani m raguwa a riga annashuwa iradar. Taba "to taimaka danniya" shi ne sauƙin fiye makãmashi tsagawa, yin iyo a cikin pool ko gudu kamar wata da'ira a kusa da filin wasan don kuna kashe haddi adrenaline a makera na biochemical matakai na jiki, don haka mafi yawan mutane sun resorted zuwa sauki da kuma araha hanyar taimaka danniya, ba so shiga cikin matsalar da kuma tuki tafi tafi da tunani na mũnãnan ayyuka da suka halaye. Saboda haka akwai wani da ake bukata kafun na zamani tarihi da cutar, da hawan jinni da cutar a cikin abin da babban.
  
  
• Kallon da talla, da yawa sukan bar gida ko riga a wurin aiki kafin aiki rana don a ji dadin wani kofin kofi ko shayi tonic. Waɗanda aka gudanar da wannan hanya na fara ranar, ya samu amfani da su da karfi invigorating yanã shã. A halin yanzu, mutane da yawa karatu sun tabbatar da tasiri na maganin kafeyin kunshe ne a cikin kofi da shayi, domin kara jini. Musamman pernicious ne da al'ada a cikin wani yanayi inda wani hauhawar jini ne kawai farko, kuma mutum ba ya jin wani mummunan cututtuka, wanda ta boyewa.
  
  
• Hereditary predisposition - daya daga cikin abubuwan da mutane da yawa saboda inexperience ko jahilci ba su ɗauke shi zuwa lissafi. Idan iyayenku da kakaninki, ko a kalla wasu daga cikinsu suna fama da ko sun sha wahala a tafarkin rayuwa da hauhawar jini, kana da dukan chances gane predisposition zuwa cuta. Ba dukan marasa lafiya gaya shi, kuma ya kasance bai cika likita tarihi. Hawan jinni da cututtukan zuciya da za a iya gane ta hereditary factor.
  
  
• Kiba. A cikin 'yan shekarun da suka gabata, kiba ya zama da taro rarraba da gaba dayan duniya. Mutane fama da kiba da asusun for 20-30% na adadin jama'a na duniya.
  Daga cikin wadannan, kawai 2% da iyali tarihi, duk sauran sun karin kilo abinci, a bayyananna take hakkin a kullum na yau da kullum, ba tare da tunanin game da yawa da kuma ingancin abinci. Akwai category na mutanen da suke da obese, sun taso a sakamakon endocrine cututtuka, amma ba sosai tsakanin dukan taro na mutane da suka yi ne kiba. Kiba halitta wani ya karu load a kan dukan jiki, ciki har da zuciya da jijiyoyin jini tsarin. The zuciya yana yi mafi girma wajen tabbatar da cewa jinin dukan gabobin da kyallen takarda, wadda take kaiwa zuwa wani karuwa a cikin sama jini darajar (systolic). A cikin mutane, akwai sha raɗaɗin a cikin kirji, sau da yawa haskakawa zuwa hagu hannu ko a karkashin kafada ruwa, da ji na rashin iska, katsalandan a cikin zuciya , ko, conversely, palpitations. Duk wannan za a iya tare da tsoron mutuwa, da kuma shi ne mai alama na jijiyoyin zuciya cuta na zuciya, angina pectoris. Saboda haka tasowa hauhawar jini: jijiyoyin zuciya jijiya cuta, mai tarihi da cutar, wani asibiti unguwa ...

• Wuce kima amfani da m abinci da ruwa ma take kaiwa zuwa hawan jini ta hanyar tsotsa ruwa daga kyallen takarda kewaye da kayayyakin a cikin jini. Wannan abin da likita ya rubuta a cikin likita tarihi, hauhawar jini da daukan mafi "m" wuri.

• Rashin alli da magnesium a cikin abinci. Alli ne da hannu a cikin akan rage tsoka Kwayoyin, ciki har da myocardium da m tsokoki located a cikin ganuwar jini na jijiya gado, da magnesium hūta tsokoki, da kara da jirgin ruwa lumen da rage hawan jini. A ganiya rabo na alli da magnesium a rage cin abinci 2: 1. Daya microelement karanci ƙarshe take kaiwa zuwa wani wuce haddi na sauran, akwai wani rashin daidaituwa matakai ƙanƙancewa da shakatawa na jijiyoyin bugun gini katangu.

Modern fasali na jijiya hauhawar jini

Our rayuwa ne sosai tsauri. Wasu 20-40 shekaru da suka wuce, shi malalo yawa more smoothly daga mafi yawan jama'arta ba su bukatar aikin lalacewa. Yanzu m danniya zama na kullum aikace-aikace. A mutum daina lura ciwon kai, malaise, tingling a cikin zuciya, don haka asymptomatic ko talauci bayyana hauhawar jini 1 mataki a cikin na biyu. Idan da mãsu haƙuri ne sane da hatsarin halin da ake ciki, ka nẽmi taimako da zai yi yau da kullum da ganin likita, za ka iya equalize da matsa lamba da kuma hana jijiyoyin bugun gini events. Idan muka yi watsi da cututtuka da kuma likita ta shawarwarin, sa'an nan da sauri zuwa uku mataki na cutar. Kuma shi kwanan nan ya faru more kuma mafi akai-akai saboda kullum da aikin yi da kara nauyin da mutane. Saboda haka, sau da yawa sosai akwai irin likita tarihi. Far: hauhawar jini na bukatar m magani saiti a rike al'ada matsa lamba matakin, da kuma hana jijiyoyin bugun gini hatsarori tsarin canje-canje na ciki gabobin.

Akayi na ci gaba da cutar

• Ƙarƙashin rinjayar dagagge matsa lamba a kananan tasoshin zo jihar spasm. Mai kodan shafa, a cikin abin da akwai jini tace ta lafiya capillary cibiyar sadarwa. Kodan ba su samu isasshen jini da oxygen, a Jihar ischemia.
• A mayar da martani ga ischemia activates da renin hadaddun: buds fara, don samar da abubuwa da kara jini, da kuma cikin ruwa wanda aka kiyaye shi a cikin jini, exacerbating da yanayin da kuma rufe asharãrai da'irar.

Nau'in digiri na hauhawar jini

Har na cutar halin da lambobi na jini.

• 1st digiri - daga 140 zuwa 160 systolic matsa lamba da kuma 90 zuwa 100 mm Hg. Art. diastolic matsa lamba.
• 2nd digiri - daga 160/100 zuwa 179/109 mm Hg. shafi.
• 3rd digiri - fi 180/110 mm Hg. shafi.

Nau'in saukarwa

Matakai na aiwatar nuna zargin pathological canje-canje a cikin gabobin da kyallen takarda.

• Stage 1 - babu rikitarwa da cutar, da kuma tsarin gyara.
• 2nd mataki - akwai alamun aikin da tsarin canje-canje na ciki gabobin (karuwa a hagu zuciya. Shrinks saboda yaduwa na connective nama koda) da kuma jijiyoyin bugun gini (Sistem encephalopathy, canje-canje a cikin fundus jini da sauransu).
• Uku mataki - da ya faru na jijiyoyin bugun gini events (bugun jini da kuma ciwon zuciya).

Nau'in hauhawar jini hadarin dalilai

Bugu da kari da har kuma a mataki na hawan jinni da cutar, akwai kuma hadarin dalilai. Suka nufi hadarin tasowa rikitarwa da hawan jinni cuta a cikin kowane haƙuri musamman. Wannan hadarin stratification da aka tsara don samar da mafi girma da iko a kan wadanda marasa lafiya da suke musamman bukatar kula da su lafiya saboda mafi girma alama na tasowa rikitarwa. Yana hada da dukan abubuwan da zai shafi cikin shakka daga cuta, kuma hangen nesa.

1. Low hadarin (kasa da kashi 15%) ne na kowa a cikin maza da mata a karkashin yana da shekaru 55 shekaru da suka sha wahala daga hauhawar jini na farko mataki ba ta kuma da tabbaci lalacewar kayan ciki da zuciya.
2. Matsakaici hadarin (15-20%) shi ne hankula ga marasa lafiya tare da hauhawar jini na 1-2 da digiri, yayin da gaban 1-2 hadarin dalilai da babu tsarin canje-canje a ƙarƙashin rinjayar ciki gabobin cututtuka.
3. Babban hadarin (daga 20% zuwa 30%) ne hankula ga marasa lafiya 1-2 digiri AG ciwon 3 ko fiye hadarin dalilai, tsarin canje-canje na ciki gabobin, tsokoki, da tasoshin, hauhawar jini peculiar zuwa 2 digiri.
4. Very babban hadarin (sama 30%) ne hankula ga marasa lafiya tare da hauhawar jini 2nd digiri, a jam'i na hadarin dalilai da alhakin cutar, da kuma gaban gyara gabobin da kyallen takarda a ƙarƙashin rinjayar high matsa lamba.

misalai diagnoses

Bari mu bincika ma'anar diagnoses cewa yana dauke da tarihi da cutar. "Hawan jinni da cututtukan zuciya 2, saukarwa, 2 mataki na hadarin 3". Don gane da wannan post, tunanin da rarrabuwa.

Irin wannan ganewar asali ne a mutum a kan 55 shekaru, jini lambobi sau da yawa a sati fi 160/100 mm Hg, misali, kai 170/120 mm. Ya furta karuwa a bar zuciya, musamman na ramin zuciya encephalopathy, kiba sa 1-2. Irin wannan mutum shi ne na dogon lokaci, a matsayin shugabanci da yawa m smokes lokaci-lokaci cũtar barasa, irrationally ciyarwa, Yana son m da kuma abinci mai kayan yaji. Waɗannan su ne facts iya take hana tarihi da cutar (hauhawar jini mataki 2, sa 2, 3 hadarin). Sauran bambancin ne yiwu.

Tarihi. Hawan jinni da cututtukan zuciya a wani matasa shekaru

A kowace shekara, masana suna kallon da kwari rejuvenation daga cututtuka na zuciya da jijiyoyin jini da kuma juyayi tsarin. Tuni a karni na ƙarshe, cututtukan zuciya da aka kira da annoba daga cikin karni. A wannan karni, da korau Trend ya ci gaba da samun lokacinta. Yanzu yana da wuya ga wani to mamaki 30-shekara hawan jinni, wasu mutane suna riga shekaru 20 da su "yawan shekaru". Kowace daga cikinsu yana da kansa tarihi da cutar. Hawan jinni da cututtukan zuciya da zai iya ci gaba da sauri sosai, a cikin mako guda, kuma watakila sosai a hankali, a hankali, nemowa comorbidities ko bayyana a matsayin daya daga cikin cututtuka da cutar. Ganin Trend zuwa ƙaramin, wahala daga wannan cuta, da kuma 16-18-shekara mutane.

A tarihin da cutar. matasa

A likita yi akwai wani labarin na cuta a far: hauhawar jini ya faru a wani saurayi shekaru 15 da shekaru. A rayuwa tarihi na hankali ne kõma zuwa da dalilai da dama:

• Hereditary predisposition a kan wani ɓangare na uba, kakaninki a nasa bangare, da kuma masu juna biyu kakan.
• Mazurari kirji yara, ba gyara ba physiotherapy kuma surgically.
• An ƙarin factor cewa tsokani cutar shan taba, tun samartaka da kuma lokaci-lokaci matsakaici shan barasa.

Daga tarihi da cutar: a samartaka bayyana kuma sannu a hankali ya zama mafi m ciwon kai, ciwon kirji, da kuma rubuce karin lambobin na jini systolic karu zuwa 130-140 mm Hg, kuma diastolic - har zuwa 90-110 mm Hg. A haƙuri ba biya wadannan "karrarawa" da hankali, kai analgesics kuma ba kanemi kula, far ba za'ayi, jihar da aka ninkawa da shekaru 18 da samun arin. Wannan tarihin da cutar. Hawan jinni da cututtukan zuciya 2, saukarwa, da hawan jinni rikicin, da farko ya haifar a cikin rayuwar wani saurayi shekaru.

Kasa shi ne wani misali na wani saurayi. Yana yana da wani misali likita tarihi. Hawan jinni da cututtukan zuciya 2, saukarwa raya saboda m hali da kiwon lafiya. Wannan tarihin da cutar a far. Jijiyoyin zuciya da cututtukan zuciya: hauhawar jini 1 tbsp. liagnostirovana wani haƙuri yana da shekaru 14 da shekaru. A wannan lokaci, dole ne ya riga obese (jiki taro index kai 31), dyspnea a kan kadan aikinsa, da pathological canje-canje na da gwiwa. Af, da dukan iyalin ne obese, da kuma cewa yaro ya fara m daga yara. Yabo don pediatricians ikon gyara, da lafiya da rayuwa, da kara motsi, da bukatar su ziyarci pool ko wasu wasanni da kuma wasanni da ayyukan bisa ga shekaru mahaifansa biyu fadi a kan kurãme kunnuwa. Tare da nauyi samun worsening kiwon lafiya na yaro. A cikin shekaru 15 da shekaru, jini lambobin kai 150 mm Hg, shiga Heart hangen nesa, ciwon kirji, a lokacin motsa jiki dyspnea. A nan ne mai tarihi da cutar a far. Hawan jinni da cututtukan zuciya - wani yanki insidious da gudu shi ne ba shi daraja. Hakika, kowa da kowa na son effortlessly warke, don haka sakaci da danganci likita a kan wani kullum ci na preperatov goyon bayan al'ada jini, samun wani hawan jinni rikicin. A tarihin da cutar da wasu mutane ta fara da shi.

All na korau trends a kiwon lafiya matsayi ne ba shryuwa matasa ba su tilasta tunani game da daidaita rayuwar. Abin baƙin ciki, ba tare da gyara da jihar na kiwon lafiya ba ya inganta, kuma kintace na ci gaba m Pathology.

Mutane da yawa obese mutane imani da cewa za su rasa nauyi da kuma duk abin da zai zama shan taba ne mai kyau, amma wannan ra'ayi shi ne kuskure. Shan taba exacerbates cutar. Duk da yake wani mutum ɗari a cikin ganewar asali (wanda ya ƙunshi wani tarihi da cutar a far) - hauhawar jini sa 2, 2 matakai. Ba tare da na yau da kullum da magani, wanda a mafi yawan mutane Feel ba dole ba, da haƙuri, zai sami "bouquet" na comorbidity. Kuma shi zai dauke da wani bincike da ya likita tarihi a kan far: muhimmin hauhawar jini sa 3, 3 matakai. Shin ba shi da daraja idan akai la'akari?

Hawan jinni da cututtukan zuciya. Academic likita tarihi

A cikin gaggawa dakin da warkewa jiki birni asibiti tsĩrar da wani haƙuri shekaru 58 da gunaguni da tsananin ciwon kirji, shortness na numfashi, palpitations. Pain ba ya tafi bayan shan nitroglycerin. Lokacin da ma'auni jini 185/110 mm Hg.

A lokacin da shan cikin tarihin ta bayyana cewa irin wannan azaba mai kai hare-hare bayyana a cikin shekaru fiye da 20 da suka wuce, cutar hawan jini da aka yi bikin tun shekaru 35. A wannan lokaci, 2 sau na hawan jinni rikicin tare da kara matsa lamba ga 210 mm Hg. Art.

8 shekaru da suka wuce, ina da aka bi a asibiti game da cutar hawan jini. Akwai irin wannan tarihi: hauhawar jini sa 2. Sanya a sallama Allunan, ciki har da "Enap", daukan kai a kai. Kafin na ainihi hadari ban yi su a mako saboda kyau jihar kiwon lafiya. Ya ayyukansa kamar yadda wani fasaha darektan a wata babbar yi kamfanin, da aikin hade tare da Psycho-wani tunanin danniya. Miyagun halaye - shan taba.

A karshe likita jarrabawa saukar wani karu da 0.4 raka'a gina jiki, ja jini Kwayoyin a cikin fitsari, da karuwa a irin ƙarfin lantarki a ECG, hijirar na cikin zuciya ta lantarki axis zuwa hagu. Yana da nufin karfafa jarrabawa da kuma lura a cikin al'umma, amma ba su kai likita - kasuwanci, aikin.

A wani nazari na asibiti samu: m tsokar zuciya infarction, da yawa tsarin canje-canje a cikin kayan ciki, jini, a kan Echo - CG - dilatation na hagu zuciya, wani duban dan tayi na ciki gabobin - gano "shrunken kodan."

Bayan da magani aka sallami a m yanayin. Ga wani misali inda ko da bayan jijiyoyin bugun gini hatsari nasarar warware halin da ake ciki (cikin tarihi da cutar - hauhawar jini sa 3, mataki 3).

ƙarshe

Kula da jinkirin, hankali a mafi yawan lokuta, ci gaban hauhawar jini. Ka mai da shi mulki sau ɗaya a mako don auna your jini, musamman a lokacin da ba ka ji sosai, kuma kada ku yi sakaci rigakafin: wani aiki salon, dace rage cin abinci, guje wa danniya taimako ka zauna tsawon lokaci lafiya da kuma farin ciki!